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Published ahead of print on May 5, 2005, doi:10.1164/rccm.200411-1486OC

Am. J. Respir. Crit. Care Med., Volume 172, Number 3, August 2005, 329-333

A more recent version of this article appeared on August 1, 2005
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Submitted on November 8, 2004
Accepted on April 30, 2005

A Desintegrin and Metalloprotease 33 Polymorphisms and Lung Function Decline in the Population

Cleo C van Diemen1, Dirkje S Postma2, Judith M Vonk1, Marcel Bruinenberg3, Jan P Schouten1, and H. Marike M Boezen1*

1 Department of Epidemiology and Bioinformatics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands, 2 Department of Pulmonology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands, 3 Department of Medical Biology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

* To whom correspondence should be addressed. E-mail: h.m. boezen{at}med.umcg.nl.

Rationale: ADAM33 (A Desintegrin and Metalloprotease 33) has been identified as a susceptibility gene for asthma and single nucleotide polymorphisms (SNPs) in this gene have been associated with excess decline of lung function in asthmatics. Objectives: To assess whether SNPs in ADAM33 are associated with accelerated lung function loss in the general population and with chronic obstructive pulmonary disease (COPD). Methods: We have collected DNA from subjects of the Vlagtwedde/Vlaardingen cohort participating in the last survey in 1989/1990 after a follow up of 25 years. Information was collected every 3 years, including lung function measurements. We defined COPD as GOLD stage 2 or higher at the last survey. 1390 subjects from the cohort were genotyped for the following SNPs in ADAM33: F+1, Q-1, S_1, S_2, T_1, T_2, V_4, ST+5. Differences in prevalence of SNPs were analyzed with chi-square tests. Linear mixed effects models were used to analyze FEV1 decline according to genotype. Measurements and main results: In the whole population mean adjusted decline was 18.7 and 12.7 ml/y in females and males respectively. Individuals homozygous for minor alleles of SNPs S_2 and Q-1 and heterozygous for SNP S_1 had a significantly accelerated decline in FEV1 of respectively 4.9, 9.6 and 3.6 ml/y compared with wild type. We found a significantly higher prevalence of SNPs F+1, S_1, S_2 and T_2 in subjects with COPD. Conclusions: We demonstrated that SNPs in ADAM33 are associated with accelerated lung function decline in the general population. These SNPs are also risk factors for COPD.


Key words: COPD, FEV1, single nucleotide polymorphism, genetics, ADAM33




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